You can register the details of up to 4 Young Rugby Ambassadors and 2 Mentors on this system, by following the instructions below. However a minimum of 1 mentor and 1 Young Rugby Ambassador will need to be registered to submit the form

If you need to register a larger number, please email YRA2015@rfu.com with the additional details.

IMPORTANT: Please remember to scroll to the bottom of the page and press SUBMIT or your registration will not be saved.

* Required

Mentor details

This form has space for up to 4 mentors’ details.
If you only have details of one mentor (yourself), please note that details of additional mentors can be added onto the system at a later date.

Club Name
*

Choose your club

This is a required question

Name
*

This is a required question

Email address
*

Please enter a valid email address

This is a required question

Telephone number
*

Your primary contact telephone number

This is a required question

Do you have a valid CRB/DBS?
*

If the answer is no, and one of your YRAs is under 18, please contact the safeguarding officer at your club to complete a DBS check

Yes

No

Don't know

This is a required question

Polo Shirt Size
*

This is a required question

Mentor details 2

Name

This is a required question

Email address

Please enter a valid email address

This is a required question

Telephone number

Your primary contact telephone number

This is a required question

Do you have a valid CRB/DBS?

If the answer is no, and one of your YRAs is under 18, please contact the safeguarding officer at your club to complete a DBS check

Yes

No

Don't know

This is a required question

Polo Shirt Size

This is a required question

Young Rugby Ambassador details

The parents of ALL under 18 year olds will need to sign and return a consent form or their son/daughter will NOT be able to participate in Young Rugby Ambassadors. Consent forms are available from your Rugby Development Officer or you can download a copy below.
http://www.rfu.com/~/media/files/2013/taking%20part/volunteer/yraconsentletter2014.pdf
IMPORTANT: Please remember to scroll to the bottom of the page and press SUBMIT or your registration will not be saved.